Organization
LUTHERAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN GLASS (CFO)
(216) 444-9361
Entity
Organization
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 696-4300
Mailing address
6801 BRECKSVILLE RD, SUITE 20 RK10, INDEPENDENCE, OH 44131-5032
(216) 636-8051
(216) 636-8088
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1149
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000205148
ANTHEM
—
01
—
0025690
CHAMPUS
—
01
—
0064535
AETNA
—
01
—
100135
KAISER
—
01
—
5000041
UNITED HEALTHCARE
—
Enumeration date
05/17/2006
Last updated
08/22/2020
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